Contraception

Question 1

Failure rate of combined pill?

Answer 1

0.3 %, 9% typical though.

Question 2

Failure rate of vasectomy, when do you do sperm test?

Answer 2

0.1%, do a 7month semen analysis.

Question 3

Names 5 UK MEC 4 criteria for the pill?

Answer 3

Migraine w aura.
Liver disease
Personal hx of breast cancer. 
Past stroke/mi/brain haemorrhage
Breastfeeding 0-6 weeks.

Question 4

What 3 things should you do in combined pi;ll consultation?

Answer 4

Check BP and BMI (do not used if >90kg)
Check smear status
Ask about risk factors and convey risks.

Question 5

If using short term course of enzyme inducer, what should you do if on COC>

Answer 5

Extra precautions during use and for 28days after stopping.

Question 6

When should you stop COC before surgery’/.

Answer 6

4 weeks before.

Question 7

After a 1st trimester termination, when can oral contraceptives be started?

Answer 7

Immediately.

Question 8

Anything more than one missed pill, what should you do?

Answer 8

Use condoms for next 7 days.

Question 9

Pearl index of implan?

Answer 9

0.05%

Question 10

Pearl index of depot?

Answer 10

0.2%

Question 11

Pearl index of IUS

Answer 11

0.2%

Question 12

Pearl index of IUD ?

Answer 12

0.6-0.8%

Question 13

How can you be reasonably certain someone is not pregnant?

Answer 13

No sex since last period
Consistently using reliable contraception
< 7 days since last normal period
< 4 wks post partum (not breast feeding)
Fully breastfeeding, amenorrhoeic and < 6m post partum
Negative preg test AND > 3 wks since UPSI